Individual
DR. CHARLES D. GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
424 SOUTH RIDGE STREET, BRECKENRIDGE, CO 80424-3850
(970) 453-5200
(970) 453-8900
Mailing address
PO BOX 3850, BRECKENRIDGE, CO 80424-3850
(970) 453-5200
(970) 453-8900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3088
CO
Other
Enumeration date
08/23/2005
Last updated
09/16/2008
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